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In this podcast episode, Dr. Gabriel Lyon interviews Dr. Michael Twyman, a board-certified cardiologist, to shed light on the importance of cardiology and clear communication. They discuss the confusion surrounding topics like cholesterol, triglycerides, heart disease, and stroke prevention. Dr. Twyman emphasizes the need to ensure information is accessible and actionable for patients. He also highlights the relevance of integrative functional medicine in cardiology.
Dr. Twyman emphasizes the critical role of circadian rhythms and endothelial health in preventing heart disease. He explains how synchronizing our waking and sleeping patterns with natural light exposure is crucial for maintaining healthy hormone and neurotransmitter production. Additionally, he highlights the crucial role of the endothelium, the inner lining of the arteries, in producing nitric oxide and maintaining vessel dilation. Abnormal endothelial function, marked by indicators like high blood pressure or erectile dysfunction, can be early warning signs of cardiovascular issues.
Dr. Twyman discusses various tests that aid in assessing a person's risk of atherosclerosis and overall arterial health. These tests include salivary nitric oxide strips, the max pulse pulse wave velocity test, carotid intima-media thickness test, and coronary calcium score. He explains how these tests help evaluate factors like endothelial function, arterial stiffness, plaque buildup, and calcification. By identifying early signs of arterial damage and inflammation, individuals can take proactive steps towards reducing their risk of heart disease.
Endothelial health plays a crucial role in protecting the heart, and assessing endothelial function is essential. Various tests, such as the endoPAT and pulse wave velocity testing, can provide valuable insights into the health of the endothelium. In addition, blood work, including uric acid levels and a test called symmetric dimethylarginine (ADMA), can provide indicators of endothelial dysfunction. By understanding the state of the endothelium and analyzing blood work, healthcare professionals can identify potential heart risks and propose targeted preventive measures.
Sunlight, specifically in the morning, has a beneficial impact on the skin and the body's ability to produce nitric oxide, a compound essential for endothelial function. Exercise is another crucial factor in increasing blood flow to the muscles, improving endothelial health, and stimulating nitric oxide production. Consumption of dark leafy greens and beets, which contain nitrates and nitrites, can also contribute to nitric oxide production. These dietary choices become particularly important after the age of forty when the body's ability to produce nitric oxide naturally decreases. Additionally, supplements targeting the salivary pathway and enzymes involved in nitric oxide production may benefit individuals with impaired nitric oxide synthesis.
Dr. Michael Twyman is a board-certified cardiologist who focuses on the prevention and early detection of heart disease. Dr. Twyman completed his cardiovascular training at St Louis University after he completed a 4-year active duty tour as an internist atNaval Hospital Beaufort. He has been in private practice since 2012. Heart Attack Prevention is his passion. He utilizes the best of conventional medicine, integrative/functional medicine, quantum medicine, and biohacking to get to the root cause of the patient’s cardiovascular issues.
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